Tell us about your company:
[1.1] Choose a Name for your corporation (be sure to see the FAQs on choosing a name): _________________________________________
[1.2] Please choose an alternate name in case your first choice is taken: _________________________________________
[2] Type of Corporation: (select one)
[2.1] For Profit Florida Business _____
[2.3] Non-Profit _______
[3] Tell us where you want us to send mail (will also be used as corporation's principal place of business and must be a street address):
[3.1] Name: _________________________________________
[3.2]Address:_________________________________________ _________________________________________
[3.3] City: _________________________________________
[3.4] State: _________________________________________
[3.5] Zip Code: _________________________________________
[3.6] Phone: _________________________________________
[3.7] FAX: _________________________________________
[3.8] Second Phone: _________________________________________
[3.9] E-mail: (a valid email address will help expedite your order)
_________________________________________
[4] Tell us who will be the Director(s) We need name and address: (the State of Florida requires just one director, who may also be an officer.)
[4.1] Name of first Director: _________________________________________
[4.1.1] Address of First Director:
_________________________________________ _________________________________________ _________________________________________
[4.2] Name of Second Director:
_________________________________________
[4.2.1] Address of Second Director:
_________________________________________ _________________________________________ ___________________________________________
[5] Tell us who the Officers will be: (One person may hold all offices in Florida.)
[5.1] President: _________________________________________
[5.2] Vice President: _________________________________________
[5.3] Secretary: _______________________________________
[5.4] Treasurer: _________________________________________
[6] We will form the corporation with 1,000 shares at $.001 par value unless you select another figure.
[6.1] Tell us how many shares of stock will be authorized:
_________________________________________
[6.2] Tell us the par value per share: _________________________________________
Tell us what your Effective Date of Incorporation will be: _____________________________
Your Corporation will be filed effective upon the State's receipt unless you choose a later date no further than 90 days out. Florida Incorporators, Inc. is a filing service and has not provided any legal advice in the formation of this corporation. If you disagree with this statement, we cannot form your corporation. Please Initial one: Agree____________ Disagree___________
[7] Tell us which services you need:
[7.1] Rush Incorporation Package** ($350) ______ yes ______ no (Includes: Rush Incorporation, Rush SS4, Corporate Kit, 2553 (save $40!) (rush turnaround time approx 24-48 hours) **FAX AND EMAIL MANDATORY FOR ALL RUSH ORDERS!
[] ADD Registered Agent Service (mandatory for out-of-state customers) ($50 per year) ______ yes ______ no Al-A-Carte Ordering:
[] Florida Incorporation ($195) ______ yes ______ no (non-rush turnaround time approx 2 weeks)
[] Corporate Kit ($50) ______ yes ______ no
[] Rush Service ($50) ______ yes ______ no (rush turnaround time approx 24-48 hours) **FAX AND EMAIL MANDATORY FOR ALL RUSH ORDERS!
[] Delivery outside the continental USA via Overnight Courier ($100) ______ yes ______ no
[] Prepare IRS form 2553 to elect S Corporation Status ($35) ______ yes ______ no
[] Prepare IRS form SS-4 to obtain federal tax ID Number ($20) ______ yes ______ no
[] Rush Service for SS-4 EIN ($40) ______ yes ______ no
[] Registered Agent Service (mandatory for out-of-state customers) ($50 per year) ______ yes ______ no
[] Phone call regarding items received as registered agent ($25 per year) ______ yes ______ no
[7.10] Total of Charges: $___________________
[8] If you are paying by credit card enter your information here. We do accept checks, however, only money orders or cashier's checks will be exempt from a 14-day hold for funds to clear before processing the corporation.
[8.1] Exact Name on Card: _________________________________________
[8.2] Exact Card Number: _________________________________________
[8.3] Month of Expiration: __________________
[8.4] Year of expiration: ____________________
[8.5] Please indicate MasterCard, Visa, American Express or Discover: _________________________________________ To avoid delay, all questions should be answered except those regarding number of shares and par value, which are optional. Your e-mail address and telephone number are especially important in the event of a possible question. If you are forming a nonprofit corporation, please type below the name and address of the required third director and a brief statement of the purpose for which the corporation is being formed. (Example: to promote alternatives to violence in the Middle East) FAX FORM TO: 305-402-3141 MAIL FORM TO: Florida Incorporators, Inc. 8875 Hidden River Parkway Suite 300 Tampa, FL 33637-2087
EMAIL FORM TO: startnow@flacorps.com